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24C-173 (2) 107 FRANKLIN ST BP-2020-0997 GIS#: COMMONWEALTH OF MASSACHUSETTS Map:Block:24C- 173 CITY OF NORTHAMPTON Lot:-001 PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS Permit: Building DO NOT HAVE ACCESS TO THE GUARANTY FUND (MGL c.142A) Category: INSULATION BUILDING PERMIT Permit# BP-2020-0997 Proiect# JS-2020-001686 Est.Cost: $65.00 Fee: $65.00 PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: HOMEWORKS ENERGY INC103832 Lot Size(sq. ft.): 5967.72 Owner: GREENBERG REBECCA Zoning URB(100)/ Applicant: HOMEWORKS ENERGY INC AT: 107 FRANKLIN ST Applicant Address: Phone: Insurance: 101 STATION LANDING (781) 205-2595 WC MEDFORDMA02155 ISSUED ON:3/5/2020 0:00:00 TO PERFORM THE FOLLOWING WORK:INSULATION AND WEATHERIZATION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Building Inspector Underground: Service: Meter: Footings: Rough: Rough: House# Foundation: Driveway Final: Final: Final• Rough Frame: Gas: Fire Department Fireplace/Chimney: Rough: Oil: Insulation: Final: Smoke: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF NORTHAMPTON UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Certificate of Occupancy Siknature: FeeType: Date Paid: Amount: Building 3/5/2020 0:00:00 $65.00 212 Main Street,Phone(413)587-1240,Fax:(413)587-1272 Louis Hasbrouck—Building Commissioner an t Z 4Dep n iom c City of Northampton - Building Department 7.2 U, 212 Main Street Room 100 INSULATION Northampton, MA 01060 phone 413-587-1240 Fax 413-587-1272 ONLY APPLICATION FOR INSULATION FOR A ONE OR TWO FAMILY DWELLING ONLY SECTION 1 -SITE INFORMATION INS ULA TION PERMIT 1.1 Property Address: This section to be completed by office 107 Franklin Street Map 2 G Lot / 73—Unit Northampton , MA 01060 Zone Overlay District Elm St District CB District SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record: Rebecca Greenberg 107 Franklin St,Northampton, MA 01060 Name(Print) Current Mallin Address: �P 17-630--6492 Telephone Signature 2.2 Authorized Agent: Gary Clement 101 Station Landing, Medford, MA 02155 Name(Print) Current Mailing Address' 781-205-2595 Signat Telephone SECTION 3-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollars)to be Official Use Only complete by permit applicant 1. Building $2 ;600.GO- (a)Building Permit Fee 2. Electrical (b)Estimated Total Cost of Construction from 6 3. Plumbing Building Permit Fee 4. Mechanical(HVAC) 5. Fire Protection 6. Total=(1 +2+3+4+5) Check Number 67 170 This Section For Official Use Only � a -�f - 9q Date Building Permit Numb r: lIssued: Signature: L Building Commissioner/Inspector of Buildings Date EMAIL ADDRESS (REQUIRED; EITHER HOMEOWNER OR CONTRACTOR) SECTION 4-CONSTRUCTION SERVICES 8.1 Licensed Construction Supervisor: Not Applicable ❑ Name of license Holder:Scott Veggeberg CSSL-103832 License Number 8 Covington Street, #1 , Boston, MA 02127 10/13/2021 Address Expiration Date 781-205-2595 Sigliature Telephone 9.Registered Home Improvement Contractor: Not Applicable ❑ HomeWorks Energy Inc. 181138 Company Name Registration Number 101 Station Landing, Medford, MA 02155 03/02/2021 Address Expiration Date Telephone 781-205-2595 SECTION 5-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152,§25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed Affidavit Attached Yes....... V No...... ❑ Brief Description of Proposed Work Insulation and weatherization work (no structural changes) 1. Gary Clement as Owner/Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief. Signed under the pains and penalties of perjury. Gary Clement Print Name 03/05/2020 Signatur§6f OwnolAgent Date , as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date 141, City of Northampton •"F Massachusetts DEPARTMENT OF BUILDING INSPECTIONS y; 212 Main Street • Municipal Building Northampton, MA 01060 fSVjy" j��, AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application The Office of Consumer Affairs and Business Regulation("OCABR")regulates the registration of contractors and subcontractors performing improvements or renovations on detached one to four family homes. Prior to performing work on such homes,a contractor must be registered as a Home Improvement Contractor("HIC"). M.G.L. Chapter 142A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units....or to structures which are adjacent to such residence or building" be done by registered contractors. Note:If the homeowner has contracted with a corporation or LLC,that entity must be registered. Type of Work:Insulation and weatherization work(no structural changes) Est. Cost: $2,600.00 Address of Work: 107 Franklin St Noortha=ton; MA 01060 Date of Permit Application: 03/05/2020 1 hereby certify that: Registration is not required for the following reason(s): _Work excluded by law(explain): _Job under$1,000.00 _Owner obtaining own permit(explain): Building not owner-occupied _Other(specify): OWNERS OBTAINING THEIR OWN PERMIT OR ENTERING INTO CONTRACTS WITH UNREGISTERED CONTRACTORS OR SUBCONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK ARE NOT ELIGIBLE FOR AND DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER M.G.L.Chapter 142A.SUCH OWNERS ALSO ASSUME THE RESPONSIBILITES FOR ALL WORK PERFORMED UNDER THE BUILDING PERMIT.SEE NEXT PAGE FOR MORE INFORMATION. Signed under the penalties of perjury: I hereby apply for a building permit as the agent of the owner: 03/05/2020 Gary Clement 181138 Date Contractor Name HIC Registration No. OR: Notwithstanding the above notice, I hereby apply for a building permit as the owner of the above property: Date Owner Name and Signature City of Northampton Massachusetts DEPARTMENT OF BUILDING INSPECTIONS P 212 Main Street • Municipal Building Northampton, MA 01060 �p •-- �10 Massachusetts Residential Building Code Section 110.85.1.2 Homeowner: Person(s)who own a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Section 110.R5.1.3.1 Any homeowner performing work for which a building permit is required shall be exempt from the licensing provisions of 780 CMR 110.R5, provided that if a homeowner engages a person(s) for hire to do such work,then such homeowner shall act as supervisor. Such homeowner shall submit to the Building Official, on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. As acting Construction Supervisor your presence on the job site will be required from time to time, during and upon completion of the work for which this permit is issued. Also be advised that with reference to Chapter 152 (Workers' Compensation) and Chapter 153 (Liability of Employers to Employees for injuries not resulting in Death) of the Massachusetts General Laws Annotated, you may be liable for person(s) you hire to perform work for you under this permit. City of Northampton Massachusetts ui. 3: DEPARTMENT OF BUILDING INSPECTIONS �`• s. 212 Main Street •Municipal Building vti•.., Ce Northampton, MA 01060 �fM ..•y7,1p Debris Disposal Affidavit In accordance of the provisions of MGL c 40, S54, I acknowledge that as a condition of the building permit all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. The debris from construction work being performed at: 107 Franklin St, Northampton, MA 01060 (Please print house number and street name) Is to be disposed of at: McNamara Waste Services LLC, 24 E. Longmeadow Rd, Hampden, MA 01036 (Please print name and location of facility) Or will be disposed of in a dumpster onsite rented or leased from: (Company Name and Address) L'/� Y"X4.,t� 03/05/2020 natur f Permit Applicant or Owner Date If, for any reason, the debris will not be disposed of as indicated, the Applicant or Owner shall notify the Building Department as to the location where the debris will be disposed. Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia City of Northampton Massachusetts 1 A DEPARTMENT OF BUILDING INSPECTIONS 212 Main Street • Municipal Building Northampton, MA 01060 sVjgj�1 MANDATORY FOR HOUSES BUILT BEFORE 1945 Property Address: Contractor Name: Address: City, State: Phone: Property Owner Name: Address: City, State: I, (contractor) attest and affirm that the building I intend to insulate does not have any open air (knob and tube)wiring in the spaces to be insulated and that I have provided the property owner with a copy of this affidavit. Contractor signature Date The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street,Suite 100 Boston,MA 02114-2017 www.mass.gov/dia 1",'orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. AyWIca!It Information Please Print Leeibly Name(BusinessrOrgani7ationnndi„idual): HomeWorks Energy Inc. Address: 101 Station Landing, Suite 110 City/State/Zip: Medford, MA 02155 Phone#: 781-305-3319 Are you an employer?Check the appropriate box: Type of project(required): 1.01 am n employer with 500 employees(full andlor part-lune).' 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working forme in 8. []Remodeling any capacity.INoworkers'comp,insurance required.] 9. El Demolition 3-E]l am a hmneowner doing all work myself.[No workers'comp.insurance required.J' 10❑Building addition 4.O I am a homeowner and will be hiring contractors to conduct all work on my property. l will ensure that all contractors either have workers'compensation insurance or are sole 11.Q Electrical repairs or additions proprietors with no employees. 12.[]Plumbing repairs or additions 5.❑I am a general contractor and l have hired the sub-contractors listed on the attached sheet. 13.❑Roof repairs These sub-contractors have employees and have workers'comp.insurance.: 6.Q We are a corporation and its officers have exercised their right of exemption per MGL c. 14. 2 Other Insulation 152,§1(4),and%ve have no employees.[No workers'comp.insurance required.] •Any applicant that checks box ft I must also fill out the section below showing their markers'compensation policy infonnatian. i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees_ If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for mil employees. Below is the policy and fob site information. Insurance Company Name: NH Employers Insurance Company Policy#or Self-ins.Lic.#: 4001017 Expiration Date: 01/01/2021 Job Site Address: 107 Franklin Street cit /state/Zi :Northampton) MA 01060 Failure to,secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this cement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify ut pains nd p nalties of perjury t t the information provided above is true and correct, Signature: Dat : 03/05/2020 Phone#: 781-305-3319 Official use only. Do not w to this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i i 1 HOMEENE-01 LLARIVIERE ,4coRO CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) 4111. � 1 12/19/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER C NTACT Lisa Lariviere Foster Sullivan Insurance Group,LLC acc°,"o,Exl:(978)686-2266 301 (A/C No):(978)686-6410 163 Main Street North Andover,MA 01845 JbOIL .certificatesaerfostersullivangroup.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:Homeland Insurance Company NY 34452 INSURED INSURER B:Safety Indemnity Insurance Company 33618 Homeworks Energy Inc. INSURER C:NH Employers Insurance Company 13083 Homeworks IIC LLC 101 Station Landing Suite 110 INSURERD: Medford,MA 02155 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBERPOLICY EFF POLICY EXP LIMITS M DD/YYYY MM A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE 1'000'000 CLAIMS-MADE FX OCCUR 7930060650002 4/1/2019 4/1/2020 DAMAGE TO RoNTEDn $ 500,000 MED EXP(Any oneperson) $ 10'000 PERSONAL&ADV INJURY $ 1'000'000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2'000'000 POLICY 1:1 JPPOT 7 LOC PRODUCTS-COMP/OP AGG 2'000'000 OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 6244378 4/1/2019 4/1/2020 BODILY INJURY Per arson $ OWNED SCHEDULED AUTOS ONLY X AUUTOpSyy p BODILY INJURY Per accident $ X AUTOS ONLY X AUTOS ON Y Pe�.E Rddent AMAGE $ A UMBRELLA LIAB I X OCCUR EACH OCCURRENCE $ 2,000'000 X EXCESS LIAB CLAIMS-MADE 7930060660002 4/1/2019 4/1/2020 AGGREGATE $ 2'000'000 DED I X I RETENTION$ 0 C WORKERS COMPENSATION X AND EMPLOYERS'LIABILITY ECC-600-4001017-2020A 1/1/2020 1/1A/2021 TATER 1,000,000 ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $ OFFICER/MEMBER EXCLUDED? NN N/A (Mandatoryin NH) E.L.DISEASE-EA EMPLOYEE $ 1'000,000 If yes,describe under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Evidence Only CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Homeworks Ener Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 9Y ACCORDANCE WITH THE POLICY PROVISIONS. 101Station Landing Ste 110 Medford,MA 02155 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD Office of Consumer Affairs and Business Regulation 1000 Washington Street- Suite 710 Boston, Massachusetts 02118 Home Improvement Contractor Registration Type: Supplement Card Registration: 181138 HOME WORKS ENERGY,INC. Expiration: 03/02/2021 101 STATION LANDING STE 110 MEDFORD,MA 02155 Update Address and Return Card. SCA 1 0 20M-05/17 Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Supplement Card before the expiration date. If found return to: Reoistration Expiration Office of Consumer Affairs and Business Regulation 181138 03/02/2021 1000 Washington Street-Suite 710 HOME WORKS ENERGY,INC. Boston,MA 02118 GARY CLEMENT \JQ Clt 101 STATION LANDING STE 110 MEDFORD,MA 02155 Undersecretary. of v id without signature r Commonwealth of Massachusetts Division of Professional Licensure Board of Building Regulations and Standards I ConstructiomSdpe' isor Specialty CSSL-103832 pires: 10/1312021 1-10 SCOTT VEGGEBERG 8 COVINGTON ST #1 BOSTON MA 02127 =r` 1�YL C©nn m i s s i o ne r ------ Insulation/Air Sealing Permit Authorization Specialist: Andrew Tacy Company: HomeWorks Energy Email: Andrew.Tacy@homeworksenergy.com Address: 101 Station Landing Cell: 413-588-4336 Medford, Ma 02155 f10(T1eWOfICS Phone: 781-305-3319 Customer: Rebecca Greenberg Address: 107 Franklin st. Email: 0 Northampton, MA 01060 Site ID: 491612 Phone: (413)587-0952 I,the owner of the property identified above hereby authorize HomeWorks Energy Inc.,or their Partner to act on my behalf in obtaining any building permit that maybe required to perform insulation and/or Weatherization work on my property and all matters related to the work authorized by said permit if one is obtained. Any related permit application cost will come at no additional charge provided that the agreed Weatherization work is completed. Customer Signature: Date: 10/7/2019 Rebecca reenberg Q / PLAN VIEW Name: �IeGY(LC�. 67COSite ID: /yf(/a Finished Sq. Ft: /J—O;? Phone: YI 7- Year of House: 1 f,7 Electric Acct#: s?30s S 3C�7 Address: /07 Aunte/r, SA- #of Floors: Gas Acct#: 011h1C07 AJC{,,, unit#: #Occupants: Housing Type? C0167ictl DUCTWORK INSPECTION Ducts Insulated?,— Duct Linear Ft. ®A/s RS /o a Duct Square'F i Duct Air Sealing H 1� )� Duct Insul p auct1risulation Removal r� BASEMENT INSPECTION 1 Existing Spec'in Ln/Sq.Ft. Bsmt Wall AG Crawl Ceiling Crawl Rim Joist �- Bsmt RJ w/Sill Cr S Bsmt RJ NO Sill 1 T t3 Vapor Barrier Bsmt Joor N Blower Door? S WALLS&GARAGE Drill Location? Siding Cell.Height Existing Speeing Sq.Ft. Framing Exterior Wall 1 C x x Balloon/platform Exterior Wall 2 ✓� �, ( G y% x i x Balloon/Platform Overhang Garage Wall .x_.___x=---Ba oon P a orm Garage Ceiling ,I ._ insula�tion'Removal Sqft. Sweeps:_J WX Stripping: _ -WORK SPEC'D BUT NOT COf+LI&AETf ROAD BLOCKS PRESENT?(MANDATORY) Attic B emea acI I Other: K&T Y Moisture YIWI Combustion Sft Y N. Kne wall ast ara Asbestos Y/ Mold>100 sq.ft Y CO Detector Missing 1Y/( Dd or Exterior Walls - Vermiculite Y/ Structl Concerns Y/ Other: Notes for Lead Vendor/Work Not Contracted: for- KW WALL AND KW FLOOR Blind Spec? OR —► KW SLOPE AND GABLE END Blind pec? W hy? Why. FRA I—NG FRAMING EXISTING SPEC'I SQ.FT. WALL X % SLOPE X x FLOOR X X GABLE X ACCESS TRANS x X TRANS x ATTIC ATTIC SLOPE x x SLOPE X X EXISTING VENTING? EXISTING VENTING? EXISTING PIPES? Y N • KW Venting Vent BF BF Hose Dammin 5 thing Access em Acces KW Venting t OF Temp Access sa L [O -Oil Insulated Wall Recd Light 3 Ins,Hose F Vent BF BFV Chlm.�,CH Damming ----- lY Roo! t IZRV I Ais Handler':SAH Temp Aaess TJ Pull Down bD5! Hatch IH Wall Hatch".� Dc—n i r Rpol Vent RV �� Vel -�"' X '0058 39(1 x x iJ ATTIC 1 Blind Spec? x ATTIC 2 Blind Spec? ❑ X �at«vi� = Existing Sp Sq Sq ft Existing Spec'ing 5q ft 33.6(3 rtoty) nfl r M t ruses eCross Batting Floored Floored Ixe nsulati0 uct Work Cath Slo a >a Dose Cath SID None Walls — Walls Access Access 60 Venting I Propaventsi Vent BF I BF I-IcilejDamming Venting I fr6paventsiVent BF I BF-Hose I Dammin m °p c � QI O. a N Sq.Ft/300= (Fdsl.NFA Venting)_ INeeded e_Sq.Ft/300 _(Exist.NFA Venting)°_(Needed NFA Venting) NFA venting) Roof Type: . Existing Venting? L f. .: i' Ex. Venting? HomeWorks Energy (fn 101 Station Landing,Modford,MA 02155 / CONTRACT - AUDIT 781305-3319 FAX 0 -,0(T1er 0rj<S Page 1 PROGRAM CMA-HPC cuSlomkk PMONE OATE CLIENT woRKo 5cm Rebecca Greenberg (917)620-6492 10/07/2019 491612 00001 ""MCL St1tEEi uu IO SI-1-1 107 Franklin Street 107 Franklin Street SERV,CE CITY.STAIL.DP HILLM CITY.STAIE.CIP Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL ATTIC DAMMING-R-38 FIBERGLASS 108 $221.40 $166.05 $55.35 Provide labor and materials to install a 12"layer of R-38 unfaced fiberglass batts for damming purposes. ATTIC FLAT-9"OPEN R-33 CELLULOSE 544 $816.00 $612.00 $204.00 Provide labor and materials to install a 9"layer of R-33 Class Cellulose added to open attic space. WHOLE HOUSE FAN COVER 1 $209.21 $156.91 $52.30 Provide labor and materials to fabricate and install a rigid foam insulating cover for the whole house fan. VENTILATION CHUTES 55 $137.50 $103.13 $34.37 Provide labor and materials to install ventilation chutes in the rafter bays to maintain air Clow. VENT BATH FAN THRU ROOF 4 INCH 1 $118.75 $89.06 $29.69 Provide labor and materials to install an insulated exhaust hose with roof mounted flapper vent to exhaust existing bathroom fan(s). INSULATED BATH EXHAUST HOSE 4 INCH 1 $60.00 $45.00 $15.00 Provide labor and materials to install an insulated exhaust hose to existing bathroom fan(s). HOME AIR SEALING 6 5510.00 $510.00 Provide labor and materials to seal areas of your home against wasteful,excess air leakage. Materials to be used to seal your home can include caulks,foams and other products. Primary areas for sealing include air leakage to attics,basements,attached garages and other unheated areas(windows are not generally addressed.) A reduction in cubic feet per minute(cfm)of air infiltration will occur,but the actual number of cfm is not guaranteed. At the completion of the weatherization work,and at no additional cost to the homeowner,a final blower door and/or combustion safety analysis will be conducted by the sub-contractor. WEATHERSTRIP AND ADD DOOR SWEEP 2 $160.00 $160.00 Provide labor and materials to install Q-Ion weatherstripping and a doorsweep to door(s)to restrict air leakage. BASEMENT SILLS RIGID BOARD INSULATION 64 $246.40 $184.80 $61.60 Provide labor and materials to install rigid board insulation to the perimeter of the basement ceiling at the house sill. 11omeWorks Energy f 101 Station Landing,Medford,MA 02155 CONTRACT - AUDIT 781-305-3319 FAX 0 HomeWorl<s Page 2 PROGRAM CMA-HPC CUSTOMER PHONE UAIL LLilN s WGkn NOUN Rebecca Greenberg (917)620-6492 10/07/2019 491612 00001 5[:k VICL STIIIJl 7 OILLI4G SI EE 107 Franklin Street 107 Franklin Street SLkVILE CITY.STAT-.ZIP BILLING CHY.. AIL.J.1' Northampton, MA 01060 Northampton, MA 01060 DESCRIPTION QTY COST INCENTIVE TOTAL REMOVE EXISTING INSULATION 64 548.00 $0.00 S48.00 Remove batt style insulation from the basement area. Total: $2,527.26 Program Incentive: $2,026.95 Customer Total: $500.31 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Five Hundred&311100 Dollars $500.31 NOTE!THIS CONTRACT MAY 0E WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE � �7 NAYS